Appeals and Grievance Specialist-ABQ
Presbyterian Healthcare Services(1 month ago)
About this role
Appeals and Grievance Specialist at Presbyterian Healthcare Services based in Albuquerque. This full-time, non-exempt role is part of the health plan operations and supports member services and organizational compliance. The position is based at the Reverend Hugh Cooper Administrative Center and serves the organization's statewide health plan membership.
Required Skills
- Appeals
- Grievance
- Research
- Documentation
- Customer Service
- Case Management
- Communication
- Regulatory Compliance
- Chart Review
- Member Advocacy
Qualifications
- High School Diploma or GED
- Associate Degree (preferred)
About Presbyterian Healthcare Services
phs.orgFind the medical care and health plan you and your family need at Presbyterian Healthcare Services, an integrated system of hospitals, healthcare providers and insurance plans serving patients and members in New Mexico.
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